Latest Morning Briefing Stories
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.
Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.
California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state’s proposed reimbursement rate, which is below what most other states pay.
Listen: An Unsettling Investigation Into the Closure of a Chain of Pain Clinics
KHN senior correspondents Jenny Gold and Anna Maria Barry-Jester joined KVPR’s Kathleen Schock on “Valley Edition” to discuss their investigation into the abrupt closure of one of California’s largest chain of pain clinics — and the patients left behind.
Changes to Medi-Cal’s Troubled Drug Program Reduce Backlog in California, but Problems Persist
After a troubled start to the new Medi-Cal prescription drug program, the state’s contractor has hired staffers to reduce wait times for medication approvals and patients seeking help. But some doctors and clinics report that patients continue to face delays.
In May 2021, Lags Medical Centers, one of California’s largest chains of pain clinics, abruptly closed its doors amid a cloaked state investigation. Nine months later, patients are still in the dark about what happened with their care and to their bodies.
Journalists Review Hospital Penalties and Problems Riddling Medicaid Rx Program
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
‘Somebody Is Gonna Die’: Medi-Cal Patients Struggle to Fill Prescriptions
Problems with California’s new Medicaid prescription drug program are preventing thousands of patients from getting their medications, including some life-saving ones. State officials say they’re working on fixes.
California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms
The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.
Clinics Say State’s New Medicaid Drug Program Will Force Them to Cut Services
On Jan. 1, California started buying prescription drugs for its nearly 14 million Medicaid enrollees, a responsibility that had primarily been held by managed-care insurance plans. State officials estimate California will save hundreds of millions of dollars by flexing its purchasing power, but some health clinics expect to lose money.
Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients
Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.
Mattresses and Mold Removal: Medi-Cal to Offer Unconventional Treatments to Asthma Patients
In January, California’s Medicaid program will begin offering nontraditional services —such as ridding homes of roaches, replacing mattresses and installing air purifiers — to some low-income asthma patients. But the rollout could be chaotic, with insurance companies struggling to identify groups that can deliver the services.
Colchones y remoción de moho: Medi-Cal ofrecerá tratamientos no tradicionales a personas con asma
Cerca de 2 millones de californianos padecen esta afección crónica y costosa, y viven en zonas con alta contaminación.
California Plans for a Post-Roe World as Abortion Access Shrinks Elsewhere
While other states dramatically restrict abortion and the conservative-leaning U.S. Supreme Court weighs Roe v. Wade, California is preparing to absorb the country’s abortion patients.
California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans
The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.
No hay estadísticas disponibles sobre el número de inmigrantes indocumentados con dispacadidades en los Estados Unidos. Pero ya sea que estén detenidos, trabajando sin papeles o esperando audiencias de asilo en el lado mexicano de la frontera, no tienen acceso a atención médica.
No Papers, No Care: Disabled Migrants Seek Help Through Lawsuit, Activism
A class action lawsuit seeks better care for immigrants with physical disabilities or mental illness who were detained after trying to enter the country. Other disabled immigrants without legal status are also finding it difficult to get care.
Health Care Unions Defending Newsom From Recall Will Want Single-Payer Payback
If Gov. Gavin Newsom survives Tuesday’s recall election, the health care unions that have campaigned on his behalf intend to pressure him to follow through on his promise to establish a government-run health system in California.
California Set to Spend Billions on Curing Homelessness and Caring for ‘Whole Body’ Politic
California is embarking on a five-year experiment to infuse its health insurance program for low-income people with billions of dollars in nonmedical services spanning housing, food delivery and addiction care. Gov. Gavin Newsom said the goal is to improve care for the program’s sickest and costliest members and save money, but will it work?
Beneficiarios de Medicaid se vacunan mucho menos contra covid
Si bien más de 202 millones de estadounidenses están vacunados al menos en parte contra covid, casi el 30% de las personas mayores de 12 años siguen sin vacunarse. Las encuestas muestran que los más pobres tienen menos probabilidades de recibir una vacuna.
Democrats Say Abortion Is on the Line in Recall Election. But Rolling Back Rights Wouldn’t Be Easy.
Reproductive rights groups and Democratic Gov. Gavin Newsom argue that Californians’ access to abortion would be threatened if he is recalled. But a replacement governor’s power to restrict access to the procedure would be limited.
